MEC JOB BRIEFING

• Conducted on

  Date
• Location
  Address

• Lead Lineman

  Select Porter Baldwin Danny Brown Rick Farmer Kennie Fuller Mark McEwen Mike Perotti Mike Richards Nick Stueve John Toms Josh Langhammer Ben Williams Trevor Bax Brandon Clema Scott Owen Doug Jones Luke Roberts Andy Lukowski Paul Karsten

  • Porter Baldwin
  • Danny Brown
  • Rick Farmer
  • Kennie Fuller
  • Mark McEwen
  • Mike Perotti
  • Mike Richards
  • Nick Stueve
  • John Toms
  • Josh Langhammer
  • Ben Williams
  • Trevor Bax
  • Brandon Clema
  • Scott Owen
  • Doug Jones
  • Luke Roberts
  • Andy Lukowski
  • Paul Karsten

• Is there a work order number?

  Yes

  No

• Work order number:

• Task Code

  Select 583 Overhead line- OCR & Regulators 586 Meter Maintenance 593 Overhead Maintenance 594 Underground Maintenance 595 Transformer Maintenance 598 Security Light Maintenance 593 Outage/Restoration

  • 583 Overhead line- OCR & Regulators
  • 586 Meter Maintenance
  • 593 Overhead Maintenance
  • 594 Underground Maintenance
  • 595 Transformer Maintenance
  • 598 Security Light Maintenance
  • 593 Outage/Restoration

• Voltage Present:

  120/240

  7200

  DE-ENERGIZED

  NO VOLTAGE PRESENT

• Within minimum approach of energized conductor?

  Yes

  No

• Sub?

  Select 1-Winnigan 2-Hart 3-Love Lake 4-Hager’s Grove 5-Lenter 6-Macon 7-Bynumville 8-Cairo 9-Axtell 10-Lakenan 12- Huntsville 13-Marceline 14-Clarence 15-Shelbyville 16-New Cambria 17-Ten Mile 18-Jackonville 19-Sue City 20-Bevier

  • 1-Winnigan
  • 2-Hart
  • 3-Love Lake
  • 4-Hager’s Grove
  • 5-Lenter
  • 6-Macon
  • 7-Bynumville
  • 8-Cairo
  • 9-Axtell
  • 10-Lakenan
  • 12- Huntsville
  • 13-Marceline
  • 14-Clarence
  • 15-Shelbyville
  • 16-New Cambria
  • 17-Ten Mile
  • 18-Jackonville
  • 19-Sue City
  • 20-Bevier

• OCR/Fuse number?

• One Shot/Tag

• Inform Dispatch

• Ground Trucks

• Proper PPE

• Visual Open?

  Yes

  No

• Test For Voltage?

  Yes

  No

• Grounded?

  Yes

  No

• Tagged?

  Yes

  No

JOB BRIEFING

• Discussed hazards with the job?

  Yes

  No

• Discussed work procedures involved?

  Yes

  No

• Discussed PPE?

  Yes

  No

• Discussed energy source controls?

  Yes

  No

• Any questions?

  Yes

  No

Hazard Assessment

• Assembly Value

Additional Risk/Mitigating Factors

• Additional Risk

  Select Chainsaw Chipper Traffic Trencher/Backhoe Skid Steer Lower Boom Height Extreme Heat and Cold Weather Outage Non-Traditional Pole Attachments Climbing Open Trench Condition of Existing Structures Truck Ground Capability Unfamiliar Situation Short Crew Members Road Conditions Lack of Proper Equipment Long Travel Time Adjacent Pole Condition Animals Terrain Monday/Friday OTHER OTHER OTHER

  • Chainsaw
  • Chipper
  • Traffic
  • Trencher/Backhoe
  • Skid Steer
  • Lower Boom Height
  • Extreme Heat and Cold
  • Weather
  • Outage
  • Non-Traditional Pole Attachments
  • Climbing
  • Open Trench
  • Condition of Existing Structures
  • Truck Ground Capability
  • Unfamiliar Situation
  • Short Crew Members
  • Road Conditions
  • Lack of Proper Equipment
  • Long Travel Time
  • Adjacent Pole Condition
  • Animals
  • Terrain
  • Monday/Friday
  • OTHER
  • OTHER
  • OTHER

• Mitigating Factors

  Select Address Distractions Work De-energized Additional Personnel Traffic Control Barricade Truck/Skid Steer Additional Equipment Close Road Wait Out Weather OTHER OTHER OTHER

  • Address Distractions
  • Work De-energized
  • Additional Personnel
  • Traffic Control
  • Barricade Truck/Skid Steer
  • Additional Equipment
  • Close Road
  • Wait Out Weather
  • OTHER
  • OTHER
  • OTHER

• Total Assessment (Assembly Value + Additional Risk/Mitigating Factors)

• MEDIUM RISK (100-150)

• MEDIUM RISK (100-150)

• HIGH RISK (>150)

• Yes

  No

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign